两种康复护理在阿尔茨海默病伴轻中度失语症患者中的应用效果比较

摘要

Objective:To compare the effect of two kinds of rehabilitation nursing for patients with Alzheimers disease ( AD ) associated with mild and moderate aphasia. Methods: f 22 AD patients associated with mild and moderate aphasia were randomly divided into the control group ( n = 58 ) and the intensive training group ( n = 64 ). The patients in the control group were given routine rehabilitation nursing and the patients in the intensive training group were additionally given psychological counseling, nonverbal communication and intensive rehabilitation nursing of speech function aiming at aphasia on the basis of the routine nursing care. The modified Boston Diagnostic Aphasia Examination ( BDAE ) was used to evaluate the rehabilitation effect in the two groups. Results: The speech function recovery was significantly better in the intensive training group than the control group ( P <0. 01 ). Conclusion:The speech enhancement nursing can improve the speech function of AD patients associated with mild and moderate aphasia.%目的:比较两种康复护理在阿尔茨海默病(AD)伴轻中度失语症患者中的应用效果.方法:将122例AD伴轻中度失语症患者随机分为对照组58例和强化组64例,对照组给予常规康复护理,强化组在此基础上给予心理疏导、非言语交流和针对失语症的强化言语康复护理.采用改良波士顿诊断性失语检查法(BDAE)评价两组康复效果.结果:强化组言语功能恢复明显优于对照组(P＜0.01).结论:言语强化护理可改善AD伴轻中度失语症患者的言语功能,值得临床推广应用.